FORM 5.062(Subsection 487.0551(1))Warrant for Arrest

Canada

Province of

(territorial division)

To the peace officers in (territorial division):

This warrant is issued for the arrest of A.B., of , (occupation), in this warrant called the “offender”.

Whereas the offender failed to appear at the place, day and time set out in an order made under subsection 487.051(4) or 487.055(3.11), or in a summons referred to in subsection 487.055(4) or 487.091(3), of the Criminal Code to submit to the taking of samples of bodily substances;

This is, therefore, to command you, in Her Majesty’s name, to arrest the offender without delay in order to allow the samples of bodily substances to be taken.